Literature DB >> 21628082

Association between population density and reported incidence, characteristics and outcome after out-of-hospital cardiac arrest in Sweden.

A Strömsöe1, L Svensson, A Claesson, J Lindkvist, A Lundström, J Herlitz.   

Abstract

AIM: To describe the reported incidence of out of hospital cardiac arrest (OHCA) and the characteristics and outcome after OHCA in relation to population density in Sweden.
METHODS: All patients participating in the Swedish Cardiac Arrest Register between 2008 and 2009 in (a) 20 of 21 regions (n=6457) and in (b) 165 of 292 municipalities (n=3522) in Sweden, took part in the survey.
RESULTS: The regional population density varied between 3 and 310 inhabitants per km(2) in 2009. In 2008-2009, the number of reported cardiac arrests varied between 13 and 52 per 100,000 inhabitants and year. Survival to 1 month varied between 2% and 14% during the same period in different regions. With regard to population density, based on municipalities, bystander CPR (p=0.04) as well as cardiac etiology (p=0.002) were more frequent in less populated areas. Ambulance response time was longer in less populated areas (p<0.0001). There was no significant association between population density and survival to 1 month after OHCA or incidence (adjusted for age and gender) of OHCA.
CONCLUSION: There was no significant association between population density and survival to 1 month after OHCA or incidence (adjusted for age and gender) of OHCA. However, bystander CPR, cardiac etiology and longer response times were more frequent in less populated areas.
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

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Year:  2011        PMID: 21628082     DOI: 10.1016/j.resuscitation.2011.04.025

Source DB:  PubMed          Journal:  Resuscitation        ISSN: 0300-9572            Impact factor:   5.262


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